Dr. Mohamed Shakeeb KU, Dr. Gijo AJ, Dr. Abdul Asraf V
Abstract: OBJECTIVES: To compare the 3 methods of internal fixation (a.Condylar buttress plating, b.Dynamic condylar screw & plate fixation, c.Distal Femoral plating.) in comminuted supracondylar fracture femur in post menopausal women treated in the department of orthopedics, MCH kozhikode during the period of 2010-2012. Materials and Methods: This is a prospective and comparative study conducted in MCH kozhikode, kerala, india.. The study was carried out in the period of November 2010 to September 2012 and 30 patients were included in the study. The detailed history, clin- ical examination, all the relevant laboratory investigations and treatment were done. In the present study, the conditions were defined according to standard practice and based on relevant literature.We have analyzed 3 methods of internal fixation a.Condylar buttress plating, b.Dynamic condylar screw & plate fixation, c.Distal Femoral plating.) in comminuted supracondylar fracture femur in post menopausal women.The ideal method should provide restoration of anatomy, stability, preservation of blood supply, early mobilization of joints with good functional outcome, Results: In this study, the mean menopausal age considered was 50years & the patients in the age group of 50-80years being included in the study.The peak incidence was in the age group of 60-70 followed by above 70years.Out of 30 female patients, 14 (46.7 %) were treated with Distal femoral plate, 12 (40 %) were treated with Condylar buttress plate, 4 (13.4 %) were treated with Dynamic condylar screw. This shows that results were relatively better with DFLP & least effective with DCS & this observation statistically insignificant 0.067 (P value). Conclusion: Locking plates are effective treatment option for supracondylar fractures of femur.DCS was the initial treatment modality.The present study Distal femoral locking plates gives better results.
Keywords: DFLP, DCS, supracondylar fracture femur